Healthy Lifestyle Consultant and Coach

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

HEALTHY LIFESTYLE CONSULTANT AND COACH

Practice address

2951 Hampshire Cir
Corona, CA 92879-6133

Phone

(951) 268-6924

Fax

(951) 268-6924

NPI assigned

Feb 26, 2021

Last updated

Feb 26, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joana A Tala, MD, DIPACLMNPI 1497363212

Title

Owner/Manager

Phone

(951) 268-6924

Specialties & licenses 2

Addresses

Other names 1

• Healthy Lifestyle Consultant and Coach Former legal business name

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joana Anjeh Tala, MD

  • Health Service Clinic/Center
  • Corona, CA
  • NPI 1497363212
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1013501261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17958",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926237958",
            "telephone_number": "951-268-6924",
            "fax_number": "951-268-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 HAMPSHIRE CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796133",
            "telephone_number": "951-268-6924",
            "fax_number": "951-268-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFESTYLE CONSULTANT AND COACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "TALA",
        "authorized_official_first_name": "JOANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "951-268-6924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DIPACLM"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jat@healthylifestylecc.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2951 Hampshire Cir",
            "city": "Corona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928796133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Healthy Lifestyle Consultant and Coach",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Health Service Clinic/Center in Corona, CA
• Providers in Corona, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.